Form E-AHCCCS: AHCCCS Contractor Quarterly Premium Tax Report

Premium tax report for AHCCCS contractors.  Updated 12/6/2018

Warning - Phishing Scam

We are aware of a phishing scam targeting insurance professionals claiming that the National Association of Insurance Commissioners received a complaint that the professional submitted a falsified claim. This fraudulent email displays the NAIC and CIPR logos, can originate from what appears to be an naic.org or gmail.com email account, and instructs the recipient to click on a link to download the complaint notification.

Certain antivirus products will detect this as a malicious email.  If you receive a similar email and have any concerns, contact the NAIC Service Desk at (816) 783-8500 or [email protected].

AHCCCS Contractor Tax Payment: Quick Reference Guide (State Agencies)

For use by Arizona State Agency contractors only.  Step-by-step instructions for for state-agency AHCCCS contractors to use to submit the tax report and complete the ITA (Internal Transaction Agreement).  Updated 12/6/2015.